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Organization
FARSHAD DAVID HANNANIAN M D P C
Active
Organization
FARSHAD DAVID HANNANIAN M D P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FARSHAD D HANNANIAN (CREDENTIALING)
(516) 773-3048
Entity
Organization
Contact information
Practice address
475 NORTHERN BLVD, SUITE 18, GREAT NECK, NY 11021-4802
(516) 773-3048
(516) 304-5011
Mailing address
475 NORTHERN BLVD, SUITE 18, GREAT NECK, NY 11021-4802
(516) 773-3048
(516) 304-5011
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
213283
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01986709
—
NY
Enumeration date
03/19/2008
Last updated
06/03/2019
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